Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Case Study #3

    Lev replied to emtb2rn's topic in Nursing Student Assistance

    CPAP and maybe intubation for the periods of apnea/low o2
  2. Lev

    Case Study #3

    Lev replied to emtb2rn's topic in Nursing Student Assistance

    The elevated temp and heart rate fit with etoh withdrawal, but not the hypotension...with leads me to think the elevated HR is from the hypotension, but maybe not... also his skin is dry...doesn't fit...
  3. Lev

    Been Working 2 Months, Just Got Called to Interview Somewhere I applied Months Ago

    Lev replied to lifelearningrn's topic in Nursing Career

    I think stay where you are and where you're happy and don't risk
  4. Lev

    Case Study #3

    Lev replied to emtb2rn's topic in Nursing Student Assistance

    What's the temp from? Does he need some
  5. Lev

    LTC 101: What To Expect

    Lev replied to VivaLasViejas's topic in Geriatric, LTC

    Loved this and learned from this and I work acute care. Who knows where I'll end
  6. Lev

    4 months experience, 2 babies, career options?

    Lev replied to kate01's topic in Job Search, Interview, Resume

    I think you may need more experience actually experiencing the inefficiencies in order to implement lasting change
  7. Lev

    Dialysis to Med-Surg unit?

    Lev replied to PrettyLady87's topic in Job Search, Interview, Resume

    Apply and see what happens. Meanwhile, stick it
  8. Lev

    Should I apply to multiple positions in same hospital?

    Lev replied to bonbon1121's topic in Job Search, Interview, Resume

    No, it would not. If you applied to OB and cath lab that would be a different scenario. Even if you applied to ICU and ED or ICU and PACU, I think it would still be ok. ICU experience is a requirement...
  9. Lev

    clinical experience question

    Lev replied to CTnewgrad826's topic in Job Search, Interview, Resume

    List clinical experiences under education, which should be your first section. Then list any nursing related work experience, followed by general work experience, then certs and license information,...
  10. Lev

    Why are hospital television documentaries okay?

    Lev replied to Semolina's topic in Nursing Professionalism

    Katie Duke got fired. Now she's working in the ER at Roosevelt. ‘New York Med’ nurse fired for ‘insensitive’ Instagram shot | New York
  11. Lev

    Slamming in IVP meds and Running Incompatible Meds Together: Is it as bad as they say

    Lev replied to RNdynamic's topic in Patient Medications

    Describe this carrier line...Do you mean an extra line with just NS running at 5cc/hr? How do you control if the med actually gets to the patient within a decent amount of time if you have a "carrier...
  12. Lev

    Diluting medication by pushing through a distal IV port

    Lev replied to M_RN's topic in Patient Safety Issues

    If I give meds through the IV port, I will pinch back the tubing at the port site so it doesn't flow up, push in the med, and then flush with 10 ccs to push it into the
  13. Lev

    Slamming in IVP meds and Running Incompatible Meds Together: Is it as bad as they say

    Lev replied to RNdynamic's topic in Patient Medications

    I'm interested to hear the input of nurses with more experience than I do. I am personally guilty of pushing meds faster than the recommended rates, but I will not run incompatible meds together or...
  14. Lev

    Anxious Patient, Possible Biliary Drain Dislodgement, and Nervous Nurse-HELP!

    Lev replied to blackdiamond407's topic in First Year After Licensure

    I think her nervousness is rubbing off on you. Breathe! It will be fine. You assessed the nephrostomy tube site and the stitches were intact, so it should be in place. If it were truly totally...
  15. Lev

    Help! Critical lab: morale -2.5

    Lev replied to Cinquefoil's topic in Medical-Surgical

    I'm 1.5 years into med-surg. 5 patients, but often some of them step down type acuities (our hospital doesn't have a step-down unit). Also, often, only 1 CNA for our 25 bed unit which has up to 7...
  16. Lev

    Post Surgical Unit

    Lev replied to alwaystheoptimist's topic in Job Search, Interview, Resume

    It could very well be a step-down surgical unit. Sometimes patients who have trouble recovering from anesthesia (breathing difficulties) or had bad vitals or heart rhythms during surgery or after or...
  17. Lev

    How to deal with day shift and having been out of med-surg for a year?

    Lev replied to ksuSN12's topic in Medical-Surgical

    I think you should be up front and honest with your preceptor about your concerns. Tell her what you need extra exposure to. However, I think with practice you will find that it will all come back to...
  18. Lev

    done with the kaplan Qbank, 9 days until nclex...what now

    Lev replied to blondie1887's topic in NCLEX Exam, Programs

    Sounds like a
  19. Lev

    Which would you choose?

    Lev replied to RN1485's topic in Job Search, Interview, Resume

    Did you get a med surg offer? Make you have an offer before turning down a
  20. Lev

    Post Surgical Unit

    Lev replied to alwaystheoptimist's topic in Job Search, Interview, Resume

    It sounds like an inpatient surgical floor. Drains, blood transfusions, ambulation , education, and IV pain medication galore! Great place to learn! You will come out of that unit a strong nurse with...
  21. Lev

    Nurses don't save lives....WHAT?

    Lev replied to ThePrincessBride's topic in General Nursing

    I just turned off my patient's PCA with a basal rate yesterday. Why? The first thing I noticed in the am was her slight change in mental status. Blood pressure was slowly creeping down and I had to...
  22. Lev

    new grad prioritization/time management

    Lev replied to Iwander's topic in Orthopedic

    I usually keep them in my clipboard on a COW (computer on
  23. Lev

    H & H Values

    Lev replied to robert.hiester's topic in Critical Care

    My patient whose platelet count was 18,000 got transfused 3 units of platelets and 2 units of plasma. So yes, it is concerning and no one should have
  24. Lev

    My patient does not comply.

    Lev replied to aricklefs's topic in Patient Education

    You should not leave her snacks at the bedside. Document in as many places as you can that patient refuses to sit with HOB elevated for meals and that you educated patient about risks of aspiration....
  25. Lev

    new grad prioritization/time management

    Lev replied to Iwander's topic in Orthopedic

    I'm not a seasoned nurse, but I do work in Med-Surg and have fairly good time management/organizational skills IMHO. A very important part of organization is having a good brain-sheet. There are many...